<!--$Id:添加收货人地址  Jack Liu    $-->
<style>
.add-address-wrap{margin: 30px 20px 20px 20px;}.qs-ui-table strong{display: inline-block;}.qs-ui-table strong.red{color: red;}.w_60{width: 80px;}.inputBg{display: inline-block;margin: auto;width: 140px;font-size: 14px;color: #555;height: 25px;vertical-align: middle;background-color: #fff;background-image: none;border: 1px solid #ccc;border-radius: 0;color: #404040;}.selectbg{height: 30px;}a.qs-ui-submit-btn{display: block;width: 120px;background: #FF7A4D;heigth: 30px;border-radius: 5px;line-height: 30px;font-size: 14px;color: #fff;text-decoration: none;text-align: center;cursor: pointer;}a.qs-ui-submit-btn: hover{background: #FF3D00;}
</style>
<form id="add-address-form">
	<div class="add-address-wrap">
		 <table class="qs-ui-table" width="100%" border="0" cellpadding="0" cellspacing="0">
			<tr>
				<td align="right">
					配送区域：
				</td>
				<td colspan="3" align="left">
					<div>
						<select class="selectbg w_60"  name="province" id="selProvinces_1" onchange="region.changed(this, 2, 'selCities_1')">
						   <option value="0">{$lang.please_select}{$name_of_region[1]}</option>
							<volist name="province_list" id="province">
								<option value="{$province.region_id}" <if condition="$province['region_id'] eq $consignee_info['province']">selected</if> >
									{$province.region_name}
								</option>
							</volist>
						</select>
						<strong>省</strong>
						<select class="selectbg w_60"  name="city" id="selCities_1" onchange="region.changed(this, 3, 'selDistricts_1')">
							<option value="0">
								请选择市
							</option>
							<volist name="city_list" id="city">
								<option value="{$city.region_id}" <if condition="$city['region_id'] eq $consignee_info['city']">selected</if> >
									{$city.region_name}
								</option>
							</volist>
						</select>
						<strong>市</strong>
						<select class="selectbg w_60"  name="district" id="selDistricts_1">
							<option value="0">
								请选择区
							</option>
							<volist name="district_list" id="district">
								<option value="{$district.region_id}" <if condition="$district['region_id'] eq $consignee_info['district']">selected</if> >
									{$district.region_name}
								</option>
							</volist>
						</select>
						<strong>区</strong>
						<strong class="red">(必填)</strong>
					</div>
				</td>
			</tr>
			<tr>
				<td align="right">
					详细地址：
				</td>
				<td colspan="3" align="left">
					<textarea name="address" id="address" style="width:420px;height:50px;">{$consignee_info.address}</textarea>
				</td>
			</tr>
			<tr>
				<td align="right">
					收货人姓名：
				</td>
				<td align="left">
					<input name="consignee" type="text" class="inputBg" id="consignee_info_1" value="{$consignee_info.consignee}">
					<strong class="red">(必填)</strong>
				</td>
				<td align="right">
					电子邮件地址：
				</td>
				<td align="left">
					<input name="email" type="text" class="inputBg" id="email_1" value="{$consignee_info.email}">
				</td>
			</tr>
			<tr>
				<td align="right">
					手机：
				</td>
				<td align="left">
					<input name="mobile" type="text" class="inputBg" id="mobile_1" value="{$consignee_info.mobile}">
					<strong class="red">(必填)</strong>
				</td>
				<td align="right">
					邮政编码：
				</td>
				<td align="left">
					<input name="zipcode" type="text" class="inputBg" id="zipcode_1" value="{$consignee_info.zipcode}">
				</td>
			</tr>
			<tr>
				<td align="right">
					电话：
				</td>
				<td align="left" colspan="3">
					<input name="tel" type="text" class="inputBg" id="tel_1" value="{$consignee_info.tel}">
					<strong class="red">(必填)</strong>
				</td>
			</tr>
			<tr>
				<td align="right"></td>
				<td colspan="3" align="center">
					<a class="qs-ui-submit-btn" style="color:#fff;">{$action_text}</a>
					<input type="hidden" name="act" value="{$act}">
					<input name="address_id" type="hidden" value="{$consignee_info.address_id}">
				</td>
			</tr>
		</table>
	</div>
</form>